Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. San Baban, PHARMD

Individual provider Pharmacist · NPI 1770194391

Dr. San Baban, PHARMD is a Pharmacist in Black Jack, Missouri. Licensed in Missouri. Registered with an NPI since 2020.

Licensed in
MO
In the registry since
2020
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

See every abbreviation used in this directory →

Practice location Address checks out

12400 Old Halls Ferry Rd
Black Jack, MO 63033-4202
Phone: (314) 741-8688
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 2017031679 (MO)

Record details

NPI number1770194391
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD
Sole proprietorNo
NPI enumeratedAugust 17, 2020
Last updated in NPPESAugust 17, 2020
Certification dateAugust 17, 2020
Mailing address12400 Old Halls Ferry Rd, Black Jack, MO 63033-4202

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